Department of Health Services of Health Services SANDRA SHEWRY Director June 15, 2004 ... Email:...
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ARNOLD SCHWARZENEGGER Governor State of California-Health and Human Services Agency Department of Health Services SANDRA SHEWRY Director June 15, 2004 CCS Information Notice No.: 04-12 TO: CALIFORNIA CHILDREN’S SERVICES (CCS) ADMINISTRATORS AND MEDICAL CONSULTANTS, HEALTHY FAMILIES (HF) PROGRAM HEALTH PLAN LIAISONS, STATE CHILDREN’S MEDICAL SERVICES (CMS) BRANCH AND REGIONAL OFFICE STAFF SUBJECT: LIST OF LIAISONS FOR HF PROGRAM HEALTH PLANS AND LOCAL CCS PROGRAMS The purpose of this notice is to transmit the enclosed updated list of liaisons within the HF health plans and local CCS programs. This listing contains the names, addresses, telephone numbers, fax numbers and email addresses (if available) of health plan and CCS liaisons who are actually performing the referral and coordination of medical care activities relative to the HF program. Please distribute this list to the appropriate staff assigned to act as the liaison within your program. If you have any questions regarding this list or have information changes to communicate, please contact David Jimenez, at (916) 327-2616, or by email, at [email protected] . Original signed by Marian Dalsey, M.D., M.P.H. Marian Dalsey, M.D., M.P.H., Acting Chief Children’s Medical Services Branch Enclosures 1515 K Street, Suite 400, MS 8100, P.O. Box 997413, Sacramento, CA 95899-7413 (916) 327-1400 Internet Address: http://www.dhs.ca.gov/pcfh/cms
Transcript of Department of Health Services of Health Services SANDRA SHEWRY Director June 15, 2004 ... Email:...
ARNOLD SCHWARZENEGGER Governor
State of California-Health and Human Services Agency
Department of Health Services
SANDRA SHEWRY Director
June 15, 2004 CCS Information Notice No.: 04-12 TO: CALIFORNIA CHILDREN’S SERVICES (CCS) ADMINISTRATORS AND
MEDICAL CONSULTANTS, HEALTHY FAMILIES (HF) PROGRAM HEALTH PLAN LIAISONS, STATE CHILDREN’S MEDICAL SERVICES (CMS) BRANCH AND REGIONAL OFFICE STAFF
SUBJECT: LIST OF LIAISONS FOR HF PROGRAM HEALTH PLANS AND LOCAL
CCS PROGRAMS The purpose of this notice is to transmit the enclosed updated list of liaisons within the HF health plans and local CCS programs. This listing contains the names, addresses, telephone numbers, fax numbers and email addresses (if available) of health plan and CCS liaisons who are actually performing the referral and coordination of medical care activities relative to the HF program. Please distribute this list to the appropriate staff assigned to act as the liaison within your program. If you have any questions regarding this list or have information changes to communicate, please contact David Jimenez, at (916) 327-2616, or by email, at [email protected]. Original signed by Marian Dalsey, M.D., M.P.H. Marian Dalsey, M.D., M.P.H., Acting Chief Children’s Medical Services Branch Enclosures
1515 K Street, Suite 400, MS 8100, P.O. Box 997413, Sacramento, CA 95899-7413 (916) 327-1400
Internet Address: http://www.dhs.ca.gov/pcfh/cms
California Children’s Services (CCS) Liaisons
HPRS/SP-cw Page 1
. ** KP is in the process of designating a CCS Liaison. In the meantime, contact Carole Welch, Healthy Families Compliance Coordinator at (510) 625-7062 for assistance with CCS issues
County CCS Liaison Address Alameda
Lynne Callen
Kaiser Permanente Continuing Care Dept. 235 West MacArthur Blvd., 6th floor Oakland, CA 94612 Ph. (510) 752-2755 Fax (510) 752-1690 Email: [email protected]
Amador Vicky Walker Kaiser Permanente Quality Dept. 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-3163 Fax (916) 525-3090 Email: [email protected]
Contra Costa Lynne Callen (Richmond) Ann Ackerman (Walnut Creek, Antioch, Park Shadelands, Pleasanton, Martinez)
Kaiser Permanente Continuing Care Dept. 235 West MacArthur Blvd., 6th floor Oakland, CA 94612 Ph. (510) 752-2755 Fax (510) 752-1690 Email: [email protected] Kaiser Permanente Administration 1515 Newell Avenue Walnut Creek, CA 94596 Ph. (925) 295-6015 Fax (925) 295-7918 Email: [email protected]
El Dorado Vicky Walker Kaiser Permanente Quality Dept. 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-3163 Fax (916) 525-3090 Email: [email protected]
Fresno Barbara Handly Kaiser Permanente Pediatric Dept. 7300 North Fresno Street Fresno, CA 93720 Ph. (559) 448-4290 Fax (559) 448-4754 Email: [email protected]
Kern Mary Jane Rosenblatt Kaiser Permanente Health Plan Administration 8800 Ming Avenue Bakersfield, CA 93311 Ph. (661) 664-3886 Fax (661) 664-3729 Email: [email protected]
Revised 06/04
California Children’s Services (CCS) Liaisons
HPRS/SP-cw Page 2
. ** KP is in the process of designating a CCS Liaison. In the meantime, contact Carole Welch, Healthy Families Compliance Coordinator at (510) 625-7062 for assistance with CCS issues
County CCS Liaison Address King Mary Jane Rosenblatt Kaiser Permanente
Health Plan Administration 8800 Ming Avenue Bakersfield, CA 93311 Ph. (661) 664-3886 Fax (661) 664-3729
Email: [email protected] Los Angeles
Joy A. Lewis Mary Boyd Mary Perry (Panorama City, Woodland Hills, and Lancaster) Eva Alvarez (South Bay/Harbor City) Rochelle “Rocky” Manago-Marples, RN, CPN, BSN (Bellflower) Leslie Maul, LCSW (Baldwin Park)
Kaiser Permanente Social Medicine Dept. 1505 N. Edgemont Street Los Angeles, CA 90027 Ph. (323) 783-1636 Fax (323) 783-1914 Email: [email protected] Kaiser Permanente Social Services Dept. 6041 Cadillac Drive Los Angeles, CA 90034 Ph. (323) 857-2324 Fax (323) 857-3941 Email: [email protected] Kaiser Permanente Social Medicine Dept. 13652 Cantara Street Panorama City, CA 91402 Ph. (818) 375-2709 Fax (818) 375-3852 Email: [email protected] Kaiser Permanente Social Services Dept. 25975 S. Normandie Avenue Harbor City, CA 90710 Ph. (310) 517-2680 Fax (310) 517-4103 Email: [email protected] Kaiser Permanente Pediatric Dept. 9449 E. Imperial Highway, Bldg.D-Suite 352 Downey, CA 90242 Ph. (562) 803-2251 (Tie Line 8-327) Fax (562) 803-2983 Email: [email protected] Kaiser Permanente Social Services Dept. 1011 Baldwin Park Blvd. Baldwin Park, CA. 91706 Ph. (626) 851-6942 (Tie Line 8 –370) Fax (626) 851-6905 Email: [email protected]
Revised 06/04
California Children’s Services (CCS) Liaisons
HPRS/SP-cw Page 3
. ** KP is in the process of designating a CCS Liaison. In the meantime, contact Carole Welch, Healthy Families Compliance Coordinator at (510) 625-7062 for assistance with CCS issues
County CCS Liaison Address
Madera Barbara Handley Kaiser Permanente Pediatric Dept. 7300 North Fresno Street Fresno, CA 93720 Ph. (559) 448-4290 Fax (559) 448-4754 Email: [email protected]
Marin Mary Teresa Kessler (San Rafael)
Kaiser Permanente Pediatrics Dept. 99 Monticello Road San Rafael, CA 94903 Ph. (415) 444-2332 Fax (415) 444-2369 Email: [email protected]
Napa Diane K. Hildebrandt and Linda Eakin
Kaiser Permanente Pediatrics Dept. 975 Sereno Dr., 3rd Floor Vallejo, 94589 Ph. (707) 651-3581 Fax (707) 651-3355 Email: [email protected] Ph. (707) 651-3368 Fax (707) 651-3355 Email: [email protected]
Orange Laura Epperson Kaiser Permanente Quality Dept. 4330 E. Miraloma Avenue Anaheim, CA 92806 Ph. (714) 223-3206 Fax (714) 223-3218 Email: [email protected]
Placer Vicky Walker Kaiser Permanente Quality Dept. 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-3163 Fax (916) 525-3090 Email: [email protected]
Riverside Manuel Ortiz Kaiser Permanente State Programs Dept. 10800 Magnolia Avenue Riverside, CA 92505 Ph. (909) 353-5279 Fax (919) 353-3900 Email: [email protected]
Revised 06/04
California Children’s Services (CCS) Liaisons
HPRS/SP-cw Page 4
. ** KP is in the process of designating a CCS Liaison. In the meantime, contact Carole Welch, Healthy Families Compliance Coordinator at (510) 625-7062 for assistance with CCS issues
County CCS Liaison Address
Sacramento Vicky Walker Kaiser Permanente Quality Dept. 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-3163 Fax (916) 525-3090 Email: [email protected]
San Bernardino Debra Du Bose Kaiser Permanente State Programs Contracts & Compliance Dept. 9961 Sierra Avenue Fontana, CA 92335 Ph. (909) 427-4689 Fax (909) 427-6361 Email: [email protected]
San Diego Denise Sannicandro, RN, PHN Kaiser Permanente Business Svcs./State Programs Dept. 4511Orcutt Avenue San Diego, CA 92120 Ph. (619) 528-7431 Fax (619) 528-3173 Email: [email protected]
San Francisco Peggy Inokuchi
Kaiser Permanente 2200 O’Farrell – 5th Floor San Francisco, CA 94115 Ph. (415) 833-3547 Fax (415) 833-3566 Email: [email protected]
San Joaquin Sylvia Hodge Kaiser Permanente 7373 West Lane Pediatrics Dept., 3rd Floor Stockton, CA 95210 Ph. (209) 476-3034 Fax (209) 476-3949 Email: [email protected]
San Mateo Geraldine Realyvasquez (Redwood City)
Kaiser Permanente Pediatric Dept. 1150 Veterans Blvd. Redwood City, CA 94603 Ph. (650) 299-4231 Fax (650) 299-4090 Email: [email protected]
Santa Clara Judy O’Neill Kaiser Permanente Utilization Management Dept. 900 Kiely Blvd. Santa Clara, CA 95051 Ph.(408)236-5016 Fax (408)236-5090 Email: Judy.O’[email protected]
Revised 06/04
California Children’s Services (CCS) Liaisons
HPRS/SP-cw Page 5 Revised 06/04
. ** KP is in the process of designating a CCS Liaison. In the meantime, contact Carole Welch, Healthy Families Compliance Coordinator at (510) 625-7062 for assistance with CCS issues
County CCS Liaison Address
Solano Diane K. Hildebrandt and Linda Eakin
Kaiser Permanente Pediatrics Dept. 975 Sereno Dr., 3rd Floor Vallejo, CA 94589 Ph. (707) 651-3581 Fax (707) 651-3355 Email: [email protected] Ph. (707) 651-3368 Fax (707) 651-3355 Email: [email protected]
Sonoma Barbara Keefer (Santa Rosa) Anna George (Petaluma)
Kaiser Permanente Richard Stein Med. Bldg.--Pediatric Dept. 3925 Old Redwood Highway Santa Rosa, CA 95403 Ph. (707) 566-5246 Fax (707) 566-5293 Email: [email protected] Kaiser Permanente Pediatrics Dept. 3900 Lakeville Highway Petaluma, CA 94954 Ph. (707) 765-3472 Fax (707) 765-3461 Email: [email protected]
Sutter Vicky Walker Kaiser Permanente 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-3163 Fax (916) 525-3090 Email: [email protected]
Yolo Vicky Walker Kaiser Permanente 6600 Bruceville Road Sacramento, CA 95823 Ph. (916) 525-3163 Fax (916) 525-3090 Email: [email protected]
HEALTHY FAMILIES’ PLANS Medical Plan Contact Person Phone Fax Alameda Alliance for Health Brenda Goldstein (510) 747-4555 (510) 747-4507 1240 South Loop [email protected] Ext. 4107 Alameda, CA 94502 Blue Cross Janice Marder (805) 384-3650 (805) 383-7335 5151-A Camino Ruiz, [email protected] M.S. CC07-B Cheryl Sparks (805) 384-3664 (805) 384-7335 Camarillo, CA 93012 [email protected] Sandra Yablonski (805) 384-7066 (805) 384-7335 [email protected] Blue Shield Brenda Kaplan, RN (415) 229-5851 (415) 229-6292 50 Beale St., 20th Floor (Statewide Contact) San Francisco, CA 94105 [email protected] Joan Peet (415) 229-5549 (Alternate Contact) [email protected] CalOPTIMA Maria Calleros (714) 246-8544 (714) 246-6425 1120 West La Veta Ave. [email protected] Orange, CA 92868 Ginny Gamel (714) 246-8452 (714) 481-6544
Care 1st Health Plan Richard Paige, RN (626) 299-4299 (626) 458-2857 1000 S. Fremont Ave., A-11 [email protected] Ext. 6298 Alhambra, CA 91803
Central Coast Alliance Lynol Elliott-Greenspan (831) 457-3850 (831) 457-3858 For Health [email protected] Ext. 4405 le375 Encinal St., Ste A Santa Cruz, CA 95060 Community Health Group Martha Jazo-Bajet (619) 498-6430 (619) 498-3811 740 Bay Boulevard [email protected] Chula Vista, CA 91910 Community Health Plan Pamela Ricks-Hawkins (626) 299-5543 (626) 299-6272 1000 S. Fremont Avenue [email protected] Building A-9 Emilia Joaquin (626) 299-5553 (626) 299-6272 East 2nd Floor, Unit 4 [email protected] Alhambra, CA 91803-1323 Betty Bell (626) 299-5551 (626) 299-7262 [email protected] Contra Costa Health Plan Beverly Jacobs (925) 313-6646 (925) 313-6002 595 Center Ave, Ste. 100 [email protected] Martinez, CA 94553-4636
Revision Date: 06/04 1
Medical Plan Contact Person Phone Fax Health Net Ana Clark, RN (909) 890-4151 (909) 890-4163 650 E. Hospitality Lane [email protected] Suite 200 San Bernardino, CA 92408-3508 Health Plan of San Joaquin Janet Braun (209) 932-2219 (209) 932-2619 1550 W. Fremont St, Ste.200 [email protected] Stockton, CA 95203-2643 Health Plan of San Mateo Wayne Pan, MD (650) 616-2141 (650) 616-8044 701 Gateway Blvd., Ste.400 [email protected] South San Francisco, CA 94080 Inland Empire Health Plan Gary Melton (909) 890-2040 (909) 890-2903 303 E. Vanderbilt Way, Ste.400 [email protected] San Bernardino, CA 92408 Kaiser Permanente See attached list Regulatory Services Carole Welch (510) 625-7062 1800 Harrison Street, 9th Floor [email protected] Oakland, CA 94612 Kern Family Health Care Amy Hollman, RN (661) 664-5081 (661) 664-5190 9700 Stockdale Hwy. [email protected] Bakersfield, CA 93311 L.A. Care Health Plan Lynette Hutcherson (213) 694-1250 (213) 623-8669 555 W. 5th Street, 18th Floor [email protected] Ext 4427 Los Angeles, CA 90013 Nanci Fulbright (213) 694-1250 [email protected] Ext 4345 Molina Angie Orozco (800) 526-8196 (562) 951-1521 One Golden Shore Dr. [email protected] 6606 Long Beach, CA 90802 Maria Barcenas (800) 526-8196 (562) 951-1521 [email protected] Ext 6603 San Francisco Health Plan Susie Rugama, RN (415) 547-7818 (415) 547-7824 568 Howard St., 5th Floor [email protected] Ext 208 San Francisco, CA 94105 Santa Barbara Regional Elizabeth Smoot, RN (805) 685-9525 (805) 685-5191 Health Authority [email protected] Ext 209 110 Castilian Drive Goleta, CA 93117 Santa Clara Family Joan McKay (408) 874-1807 (408) 376-1952 Health Plan [email protected] 210 E. Hacienda Avenue Campbell, CA 95117
Revision Date: 06/04 2
Medical Plan Contact Person Phone Fax Sharp Health Plan Alice Nicanor (claims) (619) 228-2389 (619) 228-2444 9325 University Ave., Suite 200 [email protected] San Diego, CA 92105-1601 Nancy Maurer (referrals)(619) 228-2351 (619) 228-2445 [email protected] UHP Healthcare Susan Baxter (310) 680-3219 (310) 412-3153 3405 W. Imperial Hwy. [email protected] Inglewood, CA 90250 Universal Care Norma Servin (800) 635-6668 (562) 426-4823 1600 E. Hill St. [email protected] Ext 3841 Signal, CA 90806 Ventura County Larry Keller (805) 677-5157 (805) 677-5323 Health Care [email protected] 2323 Knoll Dr., #417 Ventura, CA 93003 Dental Contact Person Phone Fax Access Dental and Salvador Cortes (916) 563-6012 (916) 646-9000 Premier Access [email protected] 555 University Ave, Ste. 182 Sacramento, CA 95825 Delta Dental Jennifer Corrales (916) 861-2432 (866) 828-4122 11155 International Drive [email protected] Rancho Cordova, CA 95670 Safeguard Laura Douthit (949) 425-5246 (949) 425-4587 95 Enterprise [email protected] Aliso Viejo, CA 92656-2601 Universal Care Dental Plan Eileen McGee-Davidson (562) 981-5056 (562) 981-5074 1600 East Hill Street [email protected] Signal Hill, CA 90806-3682 Vision Contact Person Phone Fax VSP David Steckbeck (916) 858-5223 (916) 851-5001 3333 Quality Drive [email protected] Rancho Cordova, CA 95670-7985
Revision Date: 06/04 3
Northern California Region San Francisco Regional Office
Number County Name HF Liaison for CCS Phone Number E-mail Address
1. Alameda (I) Teresa Enns
(510) 267-3213
2. Contra Costa (I) Claire Bauer (925) 313-6074
3. Del Norte Norma Williams (707) 464-3191 [email protected]
4. Humboldt (I) Colleen Proctor (707) 445-6212 [email protected]
5. Kings Pat Harder (559) 584-1401 Ext. 2619
6. Marin (I) Leal Lambert (415) 499-6887 [email protected]
7. Mendocino (I) Cindy Melvin (707) 472-2702
8. Monterey (I) Kathleen McCoy (831) 755-5515 [email protected]
9. Napa (I) Marqui Marquis (707) 253-4055
10. San Benito Maria Barrientos (831) 637-5367
11. San Francisco (I) Victoria Young-HF
(415)575-5758
12. San Mateo (I) Carl Hess Mari Baca
(650) 573-2475 (650)573-2418
[email protected] [email protected]
13. Santa Clara (I) Fran Bryan (408) 793-6211 [email protected]
14. Santa Cruz (I) Joe Phares (831) 763-8580
15. Solano (I) Pam Sakamoto (707) 784-8650
16. Sonoma (I) Frank Tuteur Khatiba Grais
(707) 565-4512 (707) 565-4527
[email protected] [email protected]
Regional Office Liaison for Dependent Counties – Sharon Lambton, R.N. (415) 904-9692
[email protected] (I) = Independent County
Revision Date: 06/04 1
Southern California Region Southern California Regional Office
Number County Name HF Liaison for CCS Phone Number
E-mail Address
1.
Imperial Silvia Henandez, P.H.N. Lupe Baeza
(760) 482-4450 (760) 482-4432
[email protected] [email protected]
2. Inyo Nel Hecht (760) 873-7878
3. Kern (I) Loalea Underwood (661) 635-2868
4. Los Angeles (I) Suzanne McLean, PHN (626) 569-6224 [email protected]
5. Mono Laurie Gunby, P.H.N. (760) 924-1830
6. Orange (I) Patricia L. Rico Supervisor: Julie Koga
(714) 347-0468 (714) 347-0459
[email protected] [email protected]
7. Riverside (I) Susan Mora (909) 358-5033
8. San Bernardino (I) Jeannette McMurray, (909) 387-8400
9. San Diego (I) Robyn Burns (619) 528-4000
10. San Luis Obispo (I) Kendra Davis (805) 781-5527
11.
Santa Barbara (I) Elizabeth Kasehagen (805) 681-5133 [email protected]
12. Ventura (I) Dee Martin (805) 981-5203 [email protected]
Regional Office Liaison for Dependent Counties – Tressa Hayes, R.N. (213) 897-3327
[email protected] (I) = Independent County
Revision Date: 06/04 2
Program Case Management Section Also Known as Sacramento Regional Office
Number
County Name HF Liaison for CCS Phone Number
E-mail Address
1. Alpine Debbie Cheevers (530) 694-2146
2. Amador Connie Vaccarezza, P.H.N. (209) 223-6677
3. Calaveras Sandy Pack (209) 754-6460
4. Colusa Lorri McKey (530) 458-0393
5. El Dorado Paula Green (530) 621-6128
6. Glenn Suzanne Toaspern-Holm (530) 934-6588
7. Lake Katherine Lindsley (707) 263-1090
8. Lassen Jennifer Cote (530) 251-8375
9.
Madera Rosalind Gaviola (559) 675-7893 [email protected]
10.
Mariposa Gloria Attaway (209) 966-3689 [email protected]
11. Modoc Dawn Valencia (530) 233-6311
12. Nevada Alice Litton (530) 265-1717 [email protected]
13. Plumas Linda Dewolf, RN (530) 283-6341
14. Shasta Lydia Ramage (530) 225-5620
15. Sierra Janis Hardeman (530) 993-6701
16. Siskiyou Lynn Corliss, P.H.N. (530) 841-2130
17. Sutter Carla Reynolds (530) 822-7215
18. Tehama Cathy Croce , PHN (530) 527-6824
19. Tuolumne Jan Bacon (209) 533-7404
20. Trinity Carol Huang (530) 623-8218
21. Yolo (I) Traci Corda, P.H.N. (530) 402-2800
22. Yuba Vicki Coleman (530) 749-6766
Medical Case Management Unit Liaison for Dependent Counties
Margie Vasquez, R.N. (916) 327-2430 [email protected]
Revision Date: 06/04 3
Revision Date: 06/04 4
Northern California Region Sacramento Office
Number
County Name HF Liaison for CCS Phone Number E-Mail Address
1. Butte (I) Barbara Demers, P.H.N. May Thao, P.H.N.
(530) 895-6546
[email protected] [email protected]
2. Fresno (I) Amada Ozaeta (559) 445-3300 ext. 2038
3. Merced (I) Maricella Flores (209) 381-1103
4. Placer (I) Lynn Lothrop, P.H.N. (530) 886-3633
5. Sacramento (I) Paul Tateishi Supervisor: Sue Nisbet
(916) 876-5178 (916) 875-9816
[email protected] [email protected]
6. San Joaquin (I) Mary Lou Hover (209) 953-3608
7. Stanislaus (I) Beverly Eldridge (209) 558-8938
8. Tulare (I) Kathleen Farrell, P.H.N. (559) 685-2533 Ext. 208
Northern California Region Liaison – Pat Sardo, R.N. (916) 323-8010
